The British journal of general practice : the journal of the Royal College of General Practitioners
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Prisoners have considerable health needs, are relatively high users of health care and often die prematurely. Prison healthcare research has typically focused on specific problems such as substance misuse, but 'routine' primary care has received less attention. Strong primary care systems are associated with better population outcomes. Identifying inappropriate variations in care will inform strategies to close gaps in health care and reduce preventable deaths. ⋯ We found substantial scope for improvement and marked variations in quality which were largely unaltered after adjustment for prison and prisoner characteristics.
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Transgender and gender diverse (TGD) individuals experience an incongruence between their assigned birth sex and gender identity. They may have a higher prevalence of health conditions associated with cancer risk than cisgender people. ⋯ Multiple cancer risk factors are more prevalent among TGD individuals compared with cisgender individuals. Future research should examine how minority stress contributes to the increased prevalence of cancer risk factors in this population.
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The evidence on the short- and long-term associations of COVID-19 with cardiovascular disease (CVD) outcomes and mortality is limited. ⋯ COVID-19 is associated with increased short- and long-term risks of CVD and mortality. Ongoing monitoring of signs and symptoms of developing cardiovascular complications post-diagnosis and up till at least a year post-recovery may benefit infected patients, especially those with severe disease.
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GPs in the UK are at increasing risk of burnout. Peer support (PS) is defined as resources provided by colleagues, such as informational or emotional support, which is either organisationally mandated (formal) or informal. PS has been described in the literature as a method of mitigating burnout. However, little is known about how GPs support one another and what optimises PS in primary care. ⋯ This qualitative research fills a literature gap regarding moderating factors for engaging with PS in GPs and highlights the unique interactions of these factors. The proposition of a novel model to visualise the interplay of moderators provides basis for evidence-based interventions to test, target, and facilitate better PS in primary care.
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Existing cardiovascular disease (CVD) risk prediction tools may not be applicable to the Chinese populations because of their development based on the mostly Western cohorts and limited list of covariates. ⋯ P-CARDIAC allows a more personalised approach for recurrent CVD prevention with dynamic baseline risk and concurrent medication effect. Such an approach with the potential for being recalibrated for other ethnicities will be used in primary care for managing CVD risk.